Active NPI
Knowledge Tree, LLC
- Specialist
- Fairview, OK
National Provider Identifier
1699083972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KNOWLEDGE TREE, LLC
- Practice address
- 2004 Commerce
Fairview, OK 73737-9620 - Phone
- (580) 822-0105
- NPI assigned
- Sep 20, 2010
- Last updated
- Sep 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Randall
- Title
- Chief Operating Manager
- Phone
- (580) 822-0105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
2004 Commerce
Fairview, OK 73737-9620
Mailing address
PO Box 165
Fairview, OK 73737-0165
National Provider Directory
National Provider DirectoryLocations
2004 Commerce St
Fairview, OK 73737
Phone (580) 822-0105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1699083972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "FAIRVIEW",
"state": "OK",
"postal_code": "737370165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 COMMERCE",
"city": "FAIRVIEW",
"state": "OK",
"postal_code": "737379620",
"telephone_number": "580-822-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOWLEDGE TREE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "CHIEF OPERATING MANAGER",
"authorized_official_telephone_number": "580-822-0105"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.